Provider Demographics
NPI:1235378225
Name:DILLMAN, STEVEN CHARLES (RPA)
Entity Type:Individual
Prefix:MR
First Name:STEVEN
Middle Name:CHARLES
Last Name:DILLMAN
Suffix:
Gender:M
Credentials:RPA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:800 PHILLIPS RD
Mailing Address - Street 2:BLDG. 208-03E
Mailing Address - City:WEBSTER
Mailing Address - State:NY
Mailing Address - Zip Code:14580-9720
Mailing Address - Country:US
Mailing Address - Phone:585-422-2155
Mailing Address - Fax:585-422-9581
Practice Address - Street 1:800 PHILLIPS RD
Practice Address - Street 2:BLDG. 208-03E
Practice Address - City:WEBSTER
Practice Address - State:NY
Practice Address - Zip Code:14580-9720
Practice Address - Country:US
Practice Address - Phone:585-422-2155
Practice Address - Fax:585-422-9581
Is Sole Proprietor?:No
Enumeration Date:2009-02-13
Last Update Date:2009-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY002823363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical